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首页> 外文期刊>Open Journal of Urology >Combined Use of Percutaneous Canulated Screws and External or Internal Fixation for Less Invasive Treatment of Tibial Plateaux Fractures
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Combined Use of Percutaneous Canulated Screws and External or Internal Fixation for Less Invasive Treatment of Tibial Plateaux Fractures

机译：经皮空心螺钉联合外固定或内固定治疗胫骨平台骨折的创伤较小

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The classic way of treatment of tibial plateau fractures with an extensive approach, opening of the knee and compressive internal fixation can lead to major complications such as infection, skin necrosis and knee stiffness. Here we present a less invasive and thus safer surgical technique, and its indications and results. Twenty patients with various types of fractures according to Schatzker’s classification (mainly V and VI) were treated during a time period of seven years. Surgical treatment usually consisted of a combination of percutaneous canulated screws with a hybrid external fixator. In three cases canulated screws were combined with a laterally applied anatomic locking plate. Patients were followed up for six months to three years postoperatively. Indications as well as intra and postoperative parameters such as surgical time, stability of fixation, blood loss, wound healing, infection, fracture healing and final result were studied. No major complications were recorded either early or later. The use of external οr less invasive internal fixation in combination with percutaneous canulated screws appears to be an adequate method for the treatment of most types of these fractures.
机译：广泛治疗胫骨平台骨折的经典方法，开放膝盖和加压内固定可导致严重并发症，例如感染，皮肤坏死和膝盖僵硬。在这里，我们提出了一种侵入性较小，因而更安全的手术技术，及其适应症和结果。根据Schatzker的分类（主要是V型和VI型）的20例各种类型的骨折患者在7年的时间内接受了治疗。手术治疗通常由经皮空心螺钉与混合外固定器的组合组成。在三种情况下，空心螺钉与侧向应用的解剖锁定板结合在一起。术后随访六个月至三年。研究了适应症以及术中和术后参数，如手术时间，固定稳定性，失血量，伤口愈合，感染，骨折愈合和最终结果。早期或晚期均未发现重大并发症。外部或侵入性较小的内部固定与经皮穿刺空心螺钉的结合使用似乎是治疗大多数这类骨折的适当方法。

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